It is important for Beach Cities Health District to be out in the community sharing our programs and resources to our residents. Last year, we participated in over 100 community events. And we can’t do it alone!

Volunteers play a critical role in our outreach efforts by helping to staff events and spread the word about health and wellbeing.

We invite you to join us in participating in one of these upcoming events where volunteer support is needed.

PERSONAL INFORMATION

First Name*

Last Name*

Email*

Phone Number*

Zip Code*

T-Shirt Size*T-shirts (in unisex sizes) will be provided to volunteers at registration day of the event.

How did you hear about this opportunity?*Please be as specific as possible to help us with future outreach efforts.

EVENT VOLUNTEER OPPORTUNITIESListed below are community events where volunteers are needed. Please Complete the section for the areas you would like to volunteer.

BCHD will be participating in the Redondo Beach Super Bowl Health Expo prior to the 10k/5k. Volunteers are needed to help pass out information, assist with kid friendly activities and hand out prizes with our spin wheel.

Yes! Sign me up to volunteer for the RB Super Bowl Health ExpoCheck the box below to mark your interest in volunteering for this opportunity.

BCHD is partnering with the annual Redondo Beach Super Bowl kids run. Volunteers are needed to help cheer on runners and keep them safe along the route. BCHD will also have a table throughout the Health Expo where volunteers are needed help pass out information and hand out prizes with our spin wheel.

Yes! Sign me up to volunteer for the RB Super Bowl Kids RunCheck the box below to mark your interest in volunteering for this opportunity.

Additional CommentsPlease include any other information you think we should know for this event.

Free Fitness WeekendsDATE: Second weekend in February, March & April (Feb. 9-11, March 9-11, April 13-15)SHIFT TIME: Various shift times availableLOCATION: Various fitness facilities in the beach cities

BCHD is partnering with local fitness studios to offer free classes the second weekend in February, March and April. Volunteers are needed to handle registration of a class, take photos for our social media efforts, and hand out giveaways.

Yes! Sign me up to volunteer for Free Fitness WeekendsCheck the box below to mark your interest in volunteering for this opportunity.

Yes! Sign me up to volunteer for Free Fitness WeekendsPlease include any other information you think we should know for this event.

Volunteer AgreementBCHD will provide a volunteer agreement on site at registration to sign. Read below for the information included in the agreement that must be signed day of in order to volunteer.

In exchange for participating in BCHD’s volunteer event, I understand and agree to the following volunteer agreement:

Volunteer’s ResponsibilityI understand my volunteer responsibilities shall include, but not be limited to the following:• Assisting staff in necessary tasks for event• Show up to shift on time with appropriate clothing as notified

BCHD’s ResponsibilityI understand BCHD’s responsibilities shall include but not be limited to the following:• Provide necessary supplies to carry out volunteer work for event• Supply BCHD staff person during shifts at all times to provide direction and assistance to carry out volunteer tasks

Volunteer StatusI understand that my volunteer status with BCHD is “at will” and that the District or I may terminate my volunteer status with BCHD at any time for any reason.

Confidentiality and Confidential InformationBCHD values the confidentiality of our clients, business operations, employees and overall dealings of the District. BCHD is legally and morally obligated to ensure the protection of those parties. Confidential information includes, but is not limited to, such things as client lists, client names, personnel files, financial and marketing data, compensation data, addresses, phone numbers, medical history data and trade secrets. As a volunteer, I agree not to share such information with individuals outside of the District.

LiabilityI understand that I must carry automobile liability insurance for any driving I do related to my volunteer assignment(s). I hereby agree to fully accept any and all risk of injury, illness and death that may result from my participation in the volunteer program and hereby fully release BCHD from any and all liability or damages for claims I may have relating to my work as a volunteer.

Photo Release AuthorizationBy signing this agreement, I hereby authorize BCHD to use my (or my son/daughter’s) image in its publications, including but not limited to the Livewell magazine, brochures, flyers, the Web site, and audiovisual presentations. I understand that this image may be disseminated to print or broadcast news media to publicize services and programs of BCHD and may appear in local, regional, or national publications. I understand that my image becomes the property of BCHD and I waive all rights/privileges associated with this image. I hereby release BCHD from any liability that may result from the use of my (son/daughter’s) image as part of publicity efforts by BCHD.

Volunteers Under 18 Years of AgeIf I am between the ages of 14-18:• I must have a parent accompany me to sign this agreement or email/fax the agreement to BCHD ahead of time with parental signature• A parent does not have to be present with me to volunteer

If I am under the age of 14:• I must have a parent accompany me to sign this agreement or email/fax the agreement to BCHD ahead of time with the signature• A parent, legal guardian or trusted adult must be present to supervise me during my volunteer shift

By submitting this form, I am acknowledging that I have read and understand all terms of the responsibilities, policies and practices described in the Beach Cities Health District Volunteer Agreement.